@article{ref1,
title="A geriatrics-focused hospitalist trauma comanagement program improves quality of care for older adults",
journal="American journal of medical quality",
year="2021",
author="Zhang, Nasen J. and Sinvani, Liron and Leung, Tung Ming and Qiu, Michael and Meyer, Cristy L. and Sharma, Ankita and Kurian, Linda M. and Bank, Matthew A. and Kast, Charles L.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="This study aimed to determine whether a geriatrics-focused hospitalist trauma comanagement program improves quality of care. A pre-/post-implementation study compared older adult trauma patients who were comanaged by a hospitalist with those prior to comanagement at a level 1 trauma center. One-to-one propensity score matching was performed based on age, gender, Injury Severity Score, comorbidity index, and critical illness on admission. Outcomes included orders for geriatrics-focused quality indicators, as well as hospital mortality and length of stay. Wilcoxon rank-sum test (continuous variables) and chi-square or Fisher exact test (categorical variables) were used to assess differences. Propensity score matching resulted in 290 matched pairs. The intervention group had decreased use of restraints (P = 0.04) and acetaminophen (P = 0.01), and earlier physical therapy (P = 0.01). Three patients died in the intervention group compared with 14 in the control (P = 0.0068). This study highlights that a geriatrics-focused hospitalist trauma comanagement program improves quality of care.<p /> <p>Language: en</p>",
language="en",
issn="1062-8606",
doi="10.1097/JMQ.0000000000000018",
url="http://dx.doi.org/10.1097/JMQ.0000000000000018"
}